Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest College

Organization Sports Medicine (Family Medicine) Physician · NPI 1417651183

Northwest College is a Sports Medicine (Family Medicine) Physician in Powell, Wyoming. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

231 W 6th St Bldg 1
Powell, WY 82435-1898
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1417651183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Northwest College Athletics
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415